Meter Swap j • y Request Number: 14693
Public works Division
Service Request
Problem Address: 5385 Horiwn Dr Requested By: Brenda Prybl
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-4704
Schedu�ed Date: 2017-04-22 Schednled'I➢me: 01:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAKEN:
Status: In Progress Submitter Has Beeu �.,
Contacted
Date Completed: Completed by:
;:;
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• � � City of Fridley �� �
Water Department ''� � d'"
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface the water meter. i understand that the property owner is tiaWe for the water line from the main to the premise and ait ir�te�ior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/'rts employees harmless for arry damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In undersWnd 1 am also requircd
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)_ �1"����
Name:�E�FM�f ��IZI if! � Address J �g� �7'O R�Zd.� �T2 N� _•
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Phone Number�63���� —-i ��_ Date y 2 �
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Signature� '�� Witness Signature
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OLD METER# � v���l 1
,: .
OLD READING Z`�'Z-�� __
I,-- --- III
NEW.��ER# IIIIII�IIII
1�1111111111
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49208080
NEW READING �-------_ _ _ _;
ERT# ��� IIIIIIIIIIIIIIIIIIIIII E
---^ 11 72223338 —
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
� ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiidin�.�atwhich the
application is made,the owner or corrtractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. it shall be uniawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAlRS AND MAtNTENANCE TO CONNECTION
After the initiai connection has Been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the properly line for connection,the applicairt,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perFormed by the City,the propertqr owner shaN be charged for the costs of the ntairnenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupanfi or user to perform standard mairitenance of the sewer senrice line from the premises to the main induding deb�is ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)